Application Form (Au Pair / Mother's Help)

Personal Information

What type of location do you currently live in?


Educational and professional background


Driving skills


Hobbies / Interests

Additional questions:



Childcare information and experience

(Please detail as much as possible, give us the type of experience, for example “childcare within family, childcare of friends' children, summer camps, nursery school, private teaching, babysitting, training children, work in school, hospital etc“ and fill in further questions)

Experience 1

Experience 2

Experience 3

Experience 4


Reference 1

Reference 2

Reference 3

(Please detail as much as possible your motivation to be an au pair, write something more about you, your family, and your plans for future. You can also email the Letter to your agency.)
Please see the example of motivation letter


I have read and understood this Application form. All the information given is true and complete. Přečetl/a a porozuměl/a jsem tomuto formuláři. Všechny uvedené informace jsou pravdivé a kompletní. Jsem si vědom/a, ze zodpovídám za poskytnutí nepravdivých nebo nekompletních informaci a za následky z toho plynoucí.